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UPDATES Print student s name and changes in the appropriate spots. First rzuoENT NAME Last BIRTHDATE SOCIAL SECURITY NO ETHNIC IDENTIFICATION Please circle one of the following Caucasian D Ml Black SEX Hispanic Native American Female Male Asian l Multi-Racial STUDENT ADDRESS Street Apt. For office use only. 10 NO - - - - - - New Tech High Zion-Benton East 2012-13 Student Records Form Advisory START DATE Grade Level CIRCLE EITHER NEW OR UPDATE NEW STUDENTS Fill in all areas. Language spoken...

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